Individual provider Active NPI

Sara Anderegg, LPC

  • Professional Counselor
  • Waynesville, MO
National Provider Identifier
1427191246
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2004013799 Issued in MO
Practice address
1400 State Route F
Suite 101
Waynesville, MO 65583-2831
Phone
(573) 433-5152
Fax
(573) 774-4009
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2004013799 MO Primary

Addresses

Primary practice location

1400 State Route F
Suite 101
Waynesville, MO 65583-2831

Mailing address

991 Highway Z
Saint Robert, MO 65584-4652
Phone (573) 433-5152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2004013799MOMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1427191246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 HIGHWAY Z",
            "city": "SAINT ROBERT",
            "state": "MO",
            "postal_code": "655844652",
            "telephone_number": "573-433-5152",
            "fax_number": "573-774-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 STATE ROUTE F",
            "address_2": "SUITE 101",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655832831",
            "telephone_number": "573-433-5152",
            "fax_number": "573-774-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDEREGG",
        "first_name": "SARA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2004013799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.